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临床上灰胆囊比较少见,至今文献报告共120例。本文报导作者收治的26例灰胆囊,其中3例同时有癌肿存在。在这26例中,男3例,女23例,平均年龄70岁,无一例是在50岁以下。77%的病例有临床体征:扪到腹块(8例),右季肋部疼痛(6例)和黄疸(5例)。无症状者,仅在X线检查(6例)或尸检(1例)时发现。X线表现为中央异质性和周围锒边性两个阴影;胆囊底部和壶腹部的影象表现为不规则的卵圆形,而且更为致密;而在胆囊上极常有一种戒环状阴影。
Gray gallbladder is relatively rare in clinical practice. Up to now, a total of 120 cases have been reported in the literature. This article reported 26 cases of gray gallbladder treated by the author, of which 3 cases had cancer at the same time. In these 26 cases, there were 3 males and 23 females, with an average age of 70 years. None of them were under 50 years of age. 77% of the cases had clinical signs: paralysis to abdominal mass (8 cases), right quarter rib pain (6 cases) and jaundice (5 cases). Asymptomatic patients were found only on X-ray examination (6 cases) or autopsy (1 case). The X-rays show two shades of central heterogeneity and peripheral borderline; the images of the bottom of the gallbladder and the ampulla are irregular oval and more dense; and there is very often a ring on the gallbladder shadow.